FARI MAME PENDA FALL MD
NPI 1639798788
Student in an Organized Health Care Education/Training Program in New York, NY

Active since April 09, 2020PECOS Enrolled
550 1ST AVE, NEW YORK, NY 10016(347) 581-5440 Get Directions Write a Review

NPPES record last updated: June 20, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Fari Mame Penda Fall Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FARI MAME PENDA FALL MD (NPI 1639798788) is an individual student in an organized health care education/training program in New York, New York and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1639798788
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameFARI MAME PENDA FALLCredential: MD
Location Address550 1ST AVENew York, NY 10016-6402
Mailing Address1015 Walnut St Ste 620Philadelphia, PA 19107-5005 · (215) 955-6864 · Fax (215) 955-2878
Sole ProprietorNo
Enumeration DateApril 9, 2020
Last NPPES UpdateJune 20, 2026
NPPES CertifiedJune 20, 2026
NPI 1639798788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

550 1ST AVE, New York, NY 10016

Secondary Practice Location 1

Location 11015 Walnut St Ste 620Philadelphia, PA 19107-5005 · Phone (215) 955-6864 · Fax (215) 955-2878

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Fari Mame Penda Fall Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
550 1ST AVE, RUSK 607
NEW YORK, NY 10016
Anesthesiology
550 1ST AVE, RUSK 607
NEW YORK, NY 10016
Anesthesiology
550 1ST AVE, RUSK 607
NEW YORK, NY 10016
Anesthesiology
550 1ST AVE, RUSK 607
NEW YORK, NY 10016
Anesthesiology
550 1ST AVE, RUSK 607
NEW YORK, NY 10016
Anesthesiology
550 1ST AVE, RUSK 607
NEW YORK, NY 10016
Anesthesiology
550 1ST AVE, RUSK 607
NEW YORK, NY 10016
Anesthesiology
550 1ST AVE, RUSK 607
NEW YORK, NY 10016

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639798788, enumerated as an "individual" on April 09, 2020.

The provider is located at 550 1ST AVE NEW YORK, NY 10016 and the phone number is (347) 581-5440.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.